Provider Demographics
NPI:1316255946
Name:DESCOTEAUX, ORGENE L (PTA)
Entity type:Individual
Prefix:MR
First Name:ORGENE
Middle Name:L
Last Name:DESCOTEAUX
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Gender:M
Credentials:PTA
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Mailing Address - Street 1:3512 SW FAIRLAWN ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3981
Mailing Address - Country:US
Mailing Address - Phone:785-271-7246
Mailing Address - Fax:785-271-7249
Practice Address - Street 1:2021 VANESTA PLACE
Practice Address - Street 2:SUITE C
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-0381
Practice Address - Country:US
Practice Address - Phone:785-320-7400
Practice Address - Fax:785-320-7598
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS14-01434225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant